Provider Type Icon

INNER-CITY MUSLIM ACTION NETWORK NPI 1770020828


NPI Information

NPI: 1770020828
Provider Name: INNER-CITY MUSLIM ACTION NETWORK

Doing Business As: IMAN ORAL HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2744 W 63RD ST
CHICAGO, IL
ZIP 60629
Phone: (773) 434-4626
Get Directions

INNER-CITY MUSLIM ACTION NETWORK is a federally qualified health center (fqhc) clinic center in Chicago, IL. INNER-CITY MUSLIM ACTION NETWORK NPI is 1770020828. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Iman Oral Health Center.

The provider's business location address is:

2744 W 63RD ST
CHICAGO, IL
ZIP 60629-343
Phone: (773) 434-4626
Fax: (773) 776-3623

The provider's authorized official is Rami Nashashibi .
The authorized official title is Executive Director and has the following contact phone number (773) 434-4626.

The enumeration date for this NPI number is 1/27/2017 and was last updated on 9/26/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.